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The DSM diagnostic criteria for sexual aversion disorder
1Department of Obstetrics and Gynaecology, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada. lori.brotto@vch.ca
Archives of Sexual Behavior
|September 29, 2009
Summary
Sexual Aversion Disorder (SAD) involves extreme avoidance of sexual contact, causing distress. Research suggests SAD may fit better as an anxiety disorder, specifically a specific phobia, rather than a sexual dysfunction.
Area of Science:
- Psychiatry
- Sexual Medicine
- Clinical Psychology
Background:
- Sexual Aversion Disorder (SAD) is classified under Sexual Desire Disorders in the DSM.
- SAD is characterized by extreme aversion to and avoidance of sexual contact, leading to distress and interpersonal difficulties.
- Existing literature highlights SAD's phobic qualities and overlap with anxiety and panic states.
Purpose of the Study:
- To review the history, prevalence, and etiology of Sexual Aversion Disorder.
- To critique the current diagnostic placement of SAD within Sexual Dysfunctions.
- To propose an alternative classification for SAD within Anxiety Disorders.
Main Methods:
- Literature review of existing studies on Sexual Aversion Disorder.
- Analysis of diagnostic criteria and historical context of SAD.
- Comparative analysis of SAD with specific phobias and anxiety disorders.
Main Results:
- There is limited recent data on the precise prevalence of SAD.
- SAD shares significant characteristics with specific phobias and anxiety disorders.
- The current placement of SAD as a Sexual Dysfunction is questioned.
Conclusions:
- Sexual Aversion Disorder exhibits strong phobic and anxiety-related features.
- Reclassifying SAD as a Specific Phobia within Anxiety Disorders may be more appropriate.
- Further research is needed to clarify the diagnostic placement and prevalence of SAD.
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